Organization Active NPI

Wolf and Wolf Optometrists, PC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1417075722
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOLF AND WOLF OPTOMETRISTS, PC
Practice address
111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611
Phone
(314) 846-8232
Fax
(314) 846-2428
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael L Wolf, OD
Title
Doctor Owner
Phone
(314) 846-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611

Mailing address

111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611
Phone (314) 846-8232

Other identifiers 1

IdentifierTypeStateIssuer
507942803MedicaidMO

Other names 1

  • Eye Associates of South County Doing business as

National Provider Directory

National Provider Directory

Locations

111 Cliff Cave Rd
Ste 100
Saint Louis, MO 63129
Phone (314) 846-8232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1417075722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLIFF CAVE RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293611",
            "telephone_number": "314-846-8232",
            "fax_number": "314-846-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLIFF CAVE RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293611",
            "telephone_number": "314-846-8232",
            "fax_number": "314-846-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF AND WOLF OPTOMETRISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "314-846-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507942803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of South County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.